| NPI | 1861406506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A91052) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 052272) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2026-05-07 |